Provider Demographics
NPI:1881459634
Name:THRIVE THERAPY
Entity type:Organization
Organization Name:THRIVE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZENTHOEFER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:240-577-8545
Mailing Address - Street 1:22598 OLD ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619-3164
Mailing Address - Country:US
Mailing Address - Phone:201-961-3297
Mailing Address - Fax:
Practice Address - Street 1:22598 OLD ROLLING RD
Practice Address - Street 2:
Practice Address - City:CALIFORNIA
Practice Address - State:MD
Practice Address - Zip Code:20619-3164
Practice Address - Country:US
Practice Address - Phone:201-961-3297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty